Facility Evaluation Report

Licensing Program Analysts (LPAs) Becky Mann and Lavette Farlow made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPAs met with Steven Prado, Administrator. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (24) current census (21). LPAs was accompanied by Administrator Steven, to conduct a general overall inspection, which included, but was not limited to, the following:

Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). LPAs conducted a walk through of the facility. LPA observed and tested the hot water temperature for four (4) restrooms. Two (2) of the four (4) restroom water tested at 91.5 and 103.1 which is below regulations. The other two restrooms tested at 128.5 and 130.1 which is above regulations. Deficiency cited. LPAs observed several residents emergency exit doors from their bedroom leading to the outside to be damaged and unsafe due to water damage. The paint on the door is chipped and peeling. Deficiency cited. LPAs inspected resident’s bedrooms; they are equipped with required furniture such as: beds, mattresses, and storage space. LPA observed all residents rooms were missing either a lamp, chair or night stand. Technical violation issued. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. During walk through LPAs observed that chemicals, toxins and sharps were inaccessible to residents in care. There was a designated storage space for resident/staff files. Medications are kept inside staff office inaccessible to residents in care.